JP5057732B2 - カテーテル装置 - Google Patents
カテーテル装置 Download PDFInfo
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- JP5057732B2 JP5057732B2 JP2006255462A JP2006255462A JP5057732B2 JP 5057732 B2 JP5057732 B2 JP 5057732B2 JP 2006255462 A JP2006255462 A JP 2006255462A JP 2006255462 A JP2006255462 A JP 2006255462A JP 5057732 B2 JP5057732 B2 JP 5057732B2
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Description
図1はレーザ血管形成用カテーテルを備えた本発明によるカテーテル装置を示し、
図2は鉗子状CTOカテーテルを備えた本発明によるカテーテル装置を示し、
図3AはOCTセンサおよびIVUSセンサのための開口を有する鉗子状CTOカテーテルを備えた本発明によるカテーテル装置を示し、
図3Bは図3Aのカテーテル装置の先端の正面図を示し、
図4Aは高周波に基づいたCTOカテーテルおよび駆動軸を備えた本発明によるカテーテル装置を示し、
図4Bは高周波に基づいたCTOカテーテルおよび回転可能なOCTカテーテルおよびIVUSカテーテルを備えた本発明によるカテーテル装置を示し、
図5はCTOカテーテル装置を備えた本発明によるX線装置を示し、
図6は図5のX線装置を用いた本発明による方法の実施時におけるセンサ読取のための概略図を示す。
OCT信号線3はグラスファイバ線として構成されている。更に、可撓性駆動軸2内には、電磁センサシステムとして構成されている位置センサシステムの信号線5と、レーザ血管形成を施すレーザエネルギーのために光ファイバである信号線6とが配置されている。包囲する駆動軸2によって、従来使用された単独のカテーテルを血管閉塞の改善された画像監視および治療のために補った複合式カテーテルを構成する一体化ユニットがもたらされる。
2 駆動軸
3 OCT信号線
4 IVUS信号線
5 位置センサシステムの信号線
6 レーザエネルギーのための信号線
7 アンテナ
8 送信および/または受信システム
9 矢印
10 レンズ
11 IVUSセンサ
12 矢印
13 矢印
14 OCTセンサ
15 出射窓
16 造影剤および/または洗浄液注入用接続部
17 機械的結合システム
18 回転カップリング
19 信号および/または駆動ユニット
20 カテーテル装置
21 カテーテル外被
22 駆動軸
23 OCT信号線
24 IVUS信号線
25 OCTセンサ
26 IVUSセンサ
27 透過窓リング
28 鉗子
29 機械装置
30 造影剤および/または洗浄液注入用接続部
31 回転カップリング
32 機械的結合システム
33 信号および/または駆動ユニット
34 カテーテル装置
35 信号および/または駆動ユニット
36 造影剤および/または洗浄液注入用接続部
37 機械的結合システム
38 回転カップリング
39 カテーテル外被
40 駆動軸
41 IVUS信号線
42 OCT信号線
43 機械装置
44 操作線
45 鉗子
46 開口
47 OCTセンサ
48 IVUSセンサ
49 鉗子上半分
50 鉗子下半分
51, 51b カテーテル装置
52, 52b 駆動軸
53, 53b コイル
54, 54b OCTセンサ
55, 55b IVUSセンサ
56, 56b アンテナシステム
57 X線装置
58 患者用テーブル
59 X線源
60 X線検出器
61 高電圧発生装置
62 システム制御部
63 前処理ユニット
64 生理学的センサ接続部
65 信号処理部
66 CTOカテーテル接続部
67 信号インターフェース
68 高周波に基づくCTOカテーテル装置
69 データバス
70 前処理ユニット
71 前処理ユニット
72 前処理ユニット
73 画像処理ユニット
74 画像処理ユニット
75 画像処理ユニット
76 電源ユニット
77 画像処理ユニット
78 画像データメモリ
79 較正ユニット
80 画像補正ユニット
81 画像融合および/または再構成ユニット
82 患者データおよび画像データシステムへのインターフェース
83 ディスプレイユニット
84 入力ユニット
Claims (18)
- 位置センサを含む位置センサシステムと共に構成され、画像監視下で部分的および/または完全な血管閉塞を治療するためのテーテル装置において、カテーテル装置が血管閉塞を治療するための治療カテーテルを有し、治療カテーテルが、画像監視のための光コヒーレンス断層画像化用(OCT)センサを含むOCTカテーテルおよび血管内超音波用(IVUS)センサを含むIVUSカテーテルならびに位置センサシステムと共に一体化ユニットとして構成され、OCTセンサ、IVUSセンサおよび位置センサは相互の妨害を回避するために時間的にずらされてクロックされて読取られることを特徴とするカテーテル装置。
- 血管閉塞を治療するための治療カテーテルが、完全な血管閉塞を治療するための慢性完全閉塞用(CTO)カテーテル、または部分的な血管閉塞を治療するための治療カテーテルであることを特徴とする請求項1記載のカテーテル装置。
- OCTカテーテルおよび/またはIVUSカテーテルの信号線が、血管閉塞を治療するための治療カテーテルの外被の内側を案内されていることを特徴とする請求項1又は2記載のカテーテル装置。
- OCTカテーテル、IVUSカテーテルおよびこれらを包囲する駆動軸のうちのすくなくとも1つが回転可能に構成されていることを特徴とする請求項1乃至3の1つに記載のカテーテル装置。
- OCTカテーテルのOCTセンサおよび/またはIVUSカテーテルのIVUSセンサが、血管閉塞を治療するための治療カテーテルの治療ユニットの前方または後方に配置されていることを特徴とする請求項1乃至4の1つに記載のカテーテル装置。
- 治療ユニットが、OCTカテーテルおよびIVUSカテーテルの移動可能な駆動軸、信号線、OCTセンサ、IVUSセンサのうちの少なくとも1つを貫通させるための開口(46)を有することを特徴とする請求項5記載のカテーテル装置。
- IVUSカテーテルの超音波および/またはOCTカテーテルの光のために少なくとも1つの透過性出射範囲が設けられていることを特徴とする請求項1乃至6の1つに記載のカテーテル装置。
- カテーテル装置(1,20,34,51)が、3次元画像化のために、OCTカテーテルおよび/またはIVUSカテーテルの回転と、この回転と同時に押し込みおよび/または引き戻しとができることを特徴とする請求項1乃至7の1つに記載のカテーテル装置。
- 位置センサシステムが電磁的にまたは超音波に基づいて構成されていることを特徴とする請求項1乃至8の1つに記載のカテーテル装置。
- 位置センサシステムがカテーテル装置の先端範囲に配置されていることを特徴とする請求項1乃至9の1つに記載のカテーテル装置。
- カテーテル装置(1,20,34,51)が、自動的な機械式ナビゲーションおよび/または磁気式ナビゲーションを行なうことを特徴とする請求項1乃至10の1つに記載のカテーテル装置。
- 患者運動を認識するための少なくとも1つの運動センサが設けられていることを特徴とする請求項1乃至11の1つに記載のカテーテル装置。
- カテーテル装置(1,20,34,51)の先端に少なくとも1つの生理学的センサが設けられていることを特徴とする請求項1乃至12の1つに記載のカテーテル装置。
- 血管内のカテーテル装置のシールドおよび/またはガイドのための被覆が設けられていることを特徴とする請求項1乃至13の1つに記載のカテーテル装置。
- OCTカテーテルの画像センサが、カテーテル装置(1,20,34,51)の長手方向においてIVUSカテーテルの画像センサの前方または後方に配置されていることを特徴とする請求項1乃至14の1つに記載のカテーテル装置。
- カテーテル装置は超音波造影剤を注入するためのルーメンを有することを特徴とする請求項1乃至15の1つに記載のカテーテル装置。
- 請求項1乃至16の1つに記載のカテーテル装置と共に構成されたX線装置。
- X線装置は、OCTデータおよび/またはIVUSデータと、X線データおよび/または他のモダリティの画像データとの組み合わせおよび/または重ね合わせを行なうことを特徴とする請求項17記載のX線装置。
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DE102005045071A1 (de) | 2007-04-12 |
US20070066888A1 (en) | 2007-03-22 |
JP2007083053A (ja) | 2007-04-05 |
US7785261B2 (en) | 2010-08-31 |
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